Please fill out the following information in order to register for a judging or volunteer position at the NYSOMA State Tournament on April 7, 2018.

Thank you for your time in helping to make this a great tournament!

Judge Information

First name

Last name

Street

Street2

City, state, zip

Phone

Alternate Phone

E-mail

Region

I participated at the Regional level as

Gender

Birthday

Hotel Accommodations (all rooms are non-smoking):

Use Hotel

Single Room

Preferred Roommate

I am registering as a

Problem

Position(s) Held(Check all that apply)

Spontaneous Hands-on
Spontaneous Verbal
Holding Room
Door Keeper

Head Judge
Problem Judge
Staging Area Judge
Style Judge

Score Checker
Time Keeper
Score Room
Weigh-In Judge

Comment:

By agreeing to be a judge at the state tournament, I affirm that I was trained and certified in the current year and judged the specific long-term problem selected above, or served as a spontaneous judge or score room official (as indicated above). I understand that a guarantee cannot be made to match my division and/or judging assignment preference.

I also understand that I will be required to attend the general judges’ meeting at 7:00 PM, Friday, April 6 in the Ballroom of the Holiday Inn Binghamton Downtown. This will be followed by problem specific judging team meetings.

By agreeing to be a tournament volunteer, I understand that I will not be assigned to a judging position but I am still required to attend the general meeting at 7:00 PM on Friday, April 6 in the Ballroom of the Holiday Inn Binghamton Downtown.

MEDIA RELEASE and ACKNOWLEDGEMENT OF THE NYSOMA CHILD PROTECTION POLICY:By checking the box below, you agree to the above terms and conditions as well as give your consent to the New York Odyssey of the Mind Association, Inc. (NYSOMA) to use your image for publicity purposes or any lawful purpose whatsoever. This permits the organizers and sponsors of the Odyssey of the Mind Program in New York State to use photographs of participants in public venues. In addition you acknowledge that you have read and will comply with the NYSOMA Child Protection Policy located at the following link: